Provider Demographics
NPI:1508541913
Name:A GOOD MOBILE TESTING
Entity Type:Organization
Organization Name:A GOOD MOBILE TESTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LAB DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARMANI
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-610-4005
Mailing Address - Street 1:17350 STATE HIGHWAY 249 STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1132
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8110 CAROLINE RIDGE DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-1102
Practice Address - Country:US
Practice Address - Phone:954-610-4005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A. GOODWIN BUSINESS GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-21
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
No251J00000XAgenciesNursing Care